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印度的产妇自主权与出生登记:谁被计入?

Maternal autonomy and birth registration in India: Who gets counted?

机构信息

Centre for Research and Action in Public Health (CeRAPH), Health Research Institute, University of Canberra, Canberra, Australia.

Faculty of Business, Government and Law, University of Canberra, Canberra, Australia.

出版信息

PLoS One. 2018 Mar 13;13(3):e0194095. doi: 10.1371/journal.pone.0194095. eCollection 2018.

Abstract

This paper examines the effect of maternal socio-economic status in the household, such as their autonomy, ability, freedom and bargaining power, on child birth registration in India using the nationally representative India Human Development Survey-II (IHDS-II), 2011-12. We have estimated a multilevel mixed effects model which accounts for the hierarchical structure of the data and allows us to examine the effects of unobserved 'district' and 'community' characteristics along with individual child level characteristics on probability of birth registration. The results show that between-districts and between individuals differences share a considerably high and an almost equal proportion of the variations in probability of birth registration in India. At individual child level, mother's socio-economic status such as her ability to move around independently and her exposure to outside world, significantly raise the probability of birth registration. More importantly, the marginal effects of the maternal autonomy indicators: mother's ability to move around freely and her control over resources, on birth registration vary across districts in India. Other variables such as institutional birth, mother's antenatal care seeking behaviour, caste, religion, household wealth and parental education are significant determinants of birth registration.

摘要

本文使用 2011-12 年印度人类发展调查 II(IHDS-II)的数据,考察了家庭中母亲的社会经济地位(如自主性、能力、自由和议价能力)对印度儿童出生登记的影响。我们估计了一个多层次混合效应模型,该模型考虑了数据的层次结构,并允许我们检查未观察到的“地区”和“社区”特征以及个体儿童特征对出生登记概率的影响。结果表明,地区之间和个体之间的差异在印度出生登记概率的变化中占有相当高的比例,几乎相等。在个体儿童层面上,母亲的社会经济地位,如她独立行动的能力和她对外界的接触,显著提高了出生登记的概率。更重要的是,母亲自主性指标(母亲自由活动的能力和对资源的控制)对出生登记的边际效应在印度各地区有所不同。其他变量,如机构分娩、母亲产前护理寻求行为、种姓、宗教、家庭财富和父母教育,也是出生登记的重要决定因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f751/5849310/4fec0da5b0f4/pone.0194095.g001.jpg

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